| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.09 | $17.66 | $17.66 | |
Cigna
| Facility | $3.51 | $6.68 | $6.68 | |
Cigna
| Professional | $3.51 | $6.68 | $6.68 | |
Providence
| Facility | $3.12 | $6.36 | $6.68 | |
Providence
| Professional | $3.51 | $5.01 | $6.68 | |
United
| Professional | $2.52 | $2.80 | $4.44 |